Keep Your Machines

Interested in keeping your machines in-unit with Precision Appliance Leasing? That's great - we're happy to help! Simply fill out the safe and secure form below and we'll get things set up.

X/Twitter

This field is for validation purposes and should be left unchanged.

Personal Information

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Phone(Required)

Community Name(Required)

Phase/Building Number(Required)

Apartment Number(Required)

Driver's License Number(Required)

Driver's License State(Required)

Social Security Number(Required)

Social Security Number is for identification purposes only and Precision Appliance Leasing will not use it to check your credit. Required format: ###-##-#####. If you have a Matrícula Consular ID number in place of a Social Security number, please enter all zeroes in the space above and enter your Matrícula Consular ID number in the "Additional Notes" section at the end of the order form. In the event you also do not have a Matrícula Consular ID, you can alternatively add your passport number as your form of identification in the same "Additional Notes" section at the end of the form.

References

Reference #1

Name(Required)

First Last

Email(Required)

Phone(Required)

Reference #2

Name(Required)

First Last

Email(Required)

Phone(Required)

Reference #3

Name(Required)

First Last

Email(Required)

Phone(Required)

Employment Information

Place of Work(Required)

Current Title at Place of Work(Required)

Length of Employment at Place of Work(Required)

Payment Information

Please Note: When you submit this form, a non-refundable $1 charge will be processed to verify your payment method and ensure accurate automatic billing. This $1 will be credited toward your monthly payment. Your first full monthly payment will not be charged until the first day of the following month.

Name on Credit/Debit Card(Required)

First Last

Card Number(Required)

Card Expiration Date(Required)

Card CVV Code(Required)

Additional Notes